A nurse is attending an in-service about ethics in nursing practice.
Which of the following is an example of a nurse upholding the ethical principle of fidelity?
Returning to evaluate a client's response to pain medication.
Finding a private location to report a client's laboratory results to the provider.
Asking whether a client has advance directives.
Providing comprehensive education to a client about their new medication.
The Correct Answer is A
Choice A rationale
Fidelity in nursing refers to the ethical principle of faithfulness and keeping commitments. Returning to evaluate a client's response to pain medication demonstrates adherence to the commitment made to the client to manage their pain effectively. This follow-up ensures the initial intervention was successful and addresses any ongoing discomfort, upholding the nurse's promise of care.
Choice B rationale
Finding a private location to report client laboratory results primarily upholds the ethical principle of confidentiality, which involves protecting sensitive patient information. While important, it does not directly exemplify fidelity, which focuses on honoring commitments and maintaining trust through consistent actions.
Choice C rationale
Asking whether a client has advance directives is an action that primarily aligns with the ethical principle of autonomy, respecting the client's right to make decisions about their own healthcare. While part of comprehensive care, it does not directly demonstrate the concept of fidelity, which is about being faithful to obligations.
Choice D rationale
Providing comprehensive education to a client about their new medication primarily upholds the ethical principle of beneficence, which means doing good and promoting the well-being of the client. It also touches on autonomy by empowering informed decision-making. However, it is not the most direct example of fidelity, which relates to commitment and trustworthiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Nonassertive communication involves a lack of directness and can lead to misunderstandings or a nurse's needs not being met. This style often results in passive behavior, which hinders effective advocacy for patients and oneself. For successful transition to a professional role, assertive communication, which respects both the speaker and listener, is crucial for clear and professional interactions.
Choice B rationale
Social interaction with clients blurs professional boundaries, potentially compromising the therapeutic relationship and objectivity. Maintaining professional distance is essential for ethical practice and patient safety. Overly personal interactions can lead to dependency or misinterpretations, undermining the nurse's role as a healthcare provider focused on client well-being.
Choice C rationale
Participating in a residency program provides structured mentorship, didactic learning, and hands-on experience, bridging the gap between academic knowledge and clinical practice. This structured environment fosters skill development, critical thinking, and professional socialization, significantly enhancing a new graduate's confidence and competence during their transition into professional nursing.
Choice D rationale
Limiting professional development opportunities restricts a nurse's growth and ability to stay current with evolving healthcare practices and evidence-based care. Continuous learning, including attending conferences, pursuing certifications, and engaging in further education, is vital for maintaining competence, advancing skills, and adapting to the dynamic healthcare environment.
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale
Taking on additional responsibilities typically increases workload and demands, which can significantly escalate stress levels rather than reduce them. Stress reduction strategies focus on managing existing stressors and incorporating activities that promote relaxation and well-being, not adding more pressure. This choice directly contradicts effective stress management principles by increasing physiological and psychological demands.
Choice B rationale
Limiting vacation time is counterproductive to stress reduction. Vacations provide essential opportunities for physical and mental rejuvenation, allowing individuals to step away from daily stressors, recover from work-related fatigue, and engage in activities that promote well-being. Reducing this restorative period can lead to burnout and increased chronic stress levels, negatively impacting overall health.
Choice C rationale
Being a good listener facilitates effective communication and strengthens interpersonal relationships, which are vital components of social support. Social support networks act as a buffer against stress by providing emotional, informational, and tangible assistance. Engaging actively in listening can also reduce personal rumination by focusing on others, thus promoting a more balanced mental state.
Choice D rationale
Wearing comfortable clothing can directly influence physiological and psychological comfort. Restrictive or uncomfortable attire can contribute to physical tension, discomfort, and even pain, which can exacerbate stress. Conversely, comfortable clothing promotes relaxation and a sense of ease, reducing superficial irritants that can contribute to overall stress levels and improving body image.
Choice E rationale
Maintaining contact with friends provides a crucial social support system. Strong social connections offer emotional support, opportunities for shared experiences, and a sense of belonging, all of which are protective factors against stress. Engaging with friends can alleviate feelings of isolation, provide different perspectives, and offer a positive outlet for processing emotions, thereby reducing the burden of stress.
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